Family Medicine Update

Antibiotics for sinusitis-like symptoms in primary care.

Lancet. 2008 Mar 15;371(9616):874-6

Authors: Lindbaek M, Butler CC

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[Contributions of primary care and public health to the development of community health.]

Aten Primaria. 2008 Mar;40(3):115-7

Authors: Pasarín Rua MI, Miller R, Segura Benedicto A

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[Prevalence of dyslipidemia in a family medicine clinic]

Rev Med Inst Mex Seguro Soc. 2007 Sep-Oct;45(5):469-75

Authors: Martínez-Hernández AF, Chávez-Aguirre R

OBJECTIVES: To evaluate the prevalence of dyslipidemia and comorbidity in adults older than 20 years attending to the family medicine clinic number 20 of Instituto Mexicano del Seguro Social and to compare it with the prevalence in Mexico. METHOD: the study was conducted in 2005 by using a cross-sectional design; dyslipidemia was ascertained by measuring total cholesterol and triglycerides. Additional variables were: gender, age, health status, and diagnosis of diabetes, hypertension, overweight, and obesity. A standardization procedure and a dry run were carried out before beginning the data collection phase. RESULTS: The study included 165 participants, 35.2 % had hypercholesterolemia and 63.6 % had hypertriglyceridemia. According to the variables, 20.0% of people aged 40 to 59 years of age; 57.1% of women; 40.9% of overweight, 40.9% of obese and 49.5% of healthy patients had hypertriglyceridemia; while 68.9% of women; 44.8% of patients with hypertension, and 51.7 % of overweight patients had hypercholesterolemia. CONCLUSION: The prevalence of hypertriglyceridemia and hypercholesterolemia were significantly different from previous reports (hypercholesterolemia z< or =2.83; p < 0.001; hypertriglyceridemia z = 7.83; p < 00.1), being higher in women and increasing with aging.

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